244234 04/15/15 (9,
CITY OF CARMEL, INDIANA VENDOR: 092000
ONE CIVIC SQUARE FASTENAL COMPANY CHECKAMOUNT: $*******350.49*
CARMEL, INDIANA 46032 PO Box 1286 CHECK NUMBER: 244234
WINONA MN 55987-1286 CHECK DATE: 04/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 817338 282.92 OTHER EXPENSES
2201 4238900 817552 67.57 OTHER MAINT SUPPLIES
® Remit to INVOICE
Fastenal Company Page 1 of 1
P.O. Box 1286 g
Winona, MN 55987-1286 Invoice Date, Invoice No.
For billing questions 04/08/2015 ININ817552
CusCust.No. 003 1010 Kendall Court,Suite 3 Invoice Total
Job No.P.O. Signs
igns WESTFIELD, IN 46074 67.57 USD
Job
Contract No. Phone 317-804-8035 Due Date
Fax 317-804-8037 05/08/2015
Sold To
Ship To
CARMEL STREET DEPT. Picked up at branch
3400 W 131 ST ST 1010 Kendall Court,Suite 3
WESTFIELD, IN 46074-8267 WESTFIELD, IN 46074
This Order and Document is subject to the"Terms of Purchase" posted on www.fastenal.com.
Line Quantity Quantity Quantity Control Part Price/
No Ordered Shipped Backordered Description No. No. Hundred Amount
1 200 200 0 S/S FW 5/16x7/8 o.d. 220017092 1171016 9.4500 18.90
2 50 50 0 5/16-18X3/4 S/S HCS 120073929 1170053 24.3300 12.17
3 150 150 0 5/16-18X3/4 S/S HCS 120189502 1170053 24.3300 36.50
Received By Tax Exemption Subtotal 67.57
0031201550-020 G Shipping&Handling 0.00
IN State Tax 0.00
Comments County Tax 0.00
Contact:Rick City Tax 0.00
Total 67.57
Reasonable collection and attorneys fees will be No materials accepted for return without our permission.
assessed to all accounts placed for collection. All discrepancies must be reported within;10 days.
If you re-package or re-sell this product,you are required to maintain Please pay from this invoice.
integrity of Country of Origin to the consumer of this product.
Invoice: ININ817552 oust: ININ80003
VOUCHER NO. WARRANT NO.
Fastenal ALLOWED 20
IN SUM OF$
P. O. Box 1286
Winona, MN 55987-0978
$67.57
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT
Board Members
2201 ININ817552 42-389.00 $67.57 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
110, 2015
treet Commissioner
! Title
1
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service,where performed,dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
04/08/15 I N I N817552 $67.57
I hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
' 20
Clerk-Treasurer
® Remit to INVOICE
Fastenal Company Page 1 of 1
P.O. Box 1286
Winona, MN 55987-1286 Invoice Date Invoice No.
03/19/2015 ININ817338
Cust.No. ININ80004 For billing questions Invoice Total
J
Cust. P.O. Verbal Jack 1010 Kendall Court, Suite 3
Job No. 716-39WESTFIELD, IN 46074 282.92 USD
Contract No. Phone 317-804-8035 Due Date
Fax 317-804-8037 04/18/2015
Sold To
0005140 01 AB 0.403 "ALrr0 H5 0 1018 46074-8-05140
Ship To
CARMEL UTILITIES Picked up at branch
3450 W 131 ST ST 1010 Kendall Court, Suite 3
CARMEL, IN 46074 WESTFIELD, IN 46074
This Order and Document is subject to the "Terms of Purchase" posted on wwwJastonal.com.
Line Quantity Quantity Quantity Control Part Price/
No Ordered Shipped Backordered Description No. No. Hundred Amount
1 75 75 0 5/8"-11 Bras FHN 220017628 75120 102.1500 76.61
2 75 75 0 S/S HCS 5/8-11X2 1/2 120210042 70313 165.6000 124.20
Received By Tax Exemption Subtotal 200.81
0031201560-020 G Shipping&Handling 82.11
Comments IN State Tax 0.00
County Tax 0.00
Contact:Jack Spears City Tax 0.00
Total 282.92
Reasonable collection and attorneys fees will be No materials accepted for return without our permission.
assessed to all accounts placed for collection. All discrepancies must be reported within 10 days.
If you re-package or re-sell this product, you are required to maintain Please pay from this invoice.
integrity of Country of Origin to the consumer of this product.
0005140-01-0015831 Invoice: ININ817338 Cust: ININ80004
VOUCHER # 151463 WARRANT# ALLOWED
92000 f IN SUM OF $
FASTENAL
P.O. BOX 1286
WINONA, MN 55987-1286
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
r
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
817338 01-6200-06 $282.92
f
,II
I,I
,I
l
,I
'I
i
Voucher Total $282.92
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No.201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
92000
FASTENAL Purchase Order No.
P.O. BOX 1286 Terms
WINONA, MN 55987-1286 Due Date 4/7/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/7/2015 817338 $282.92
I hereby certify that the attached invoice(s), or bill(s) is (are)true and
correct and I have audited same in accordance with IC 5-11-10-1.6
Date Officer